HomeMy WebLinkAbout04-27-11NOTICE OF INHERITANCE TAX Pennsylvania ~ ~
BUREAU OF INDIVIDIf~n,T'A7CES~' ~ ~I~~~~AISEMENT, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISICr11 ,. ~i ; ~-,OF DEDUCTIONS AND ASSESSMENT OF TAX REV-1547 EX AFP clz-lo)
PO BOX 280601 _ ~ ~
HARRISBURG PA 17128-0601
P
1 .,. i 1 . _ -..
Ci FMK (r=
i1 v .'I :I
JAN M MQ~~i~:'-:,' ;'", :~ , ~h
130 W CHURCH ST
DILLSBURG PA 17019
DATE 04-11-2011
ESTATE OF LEINAWEAVER MILDRED E
DATE OF DEATH 09-06-2010
FILE NUMBER 21 10-0941
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 06-10-2011
(See reverse side under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE ---- -~ RETAIN LOWER PORTION FOR YOUR RECORDS F--
-------------------- ----------------------------------------------------------------
REV-1547 EX AFP C12-10) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: LEINAWEAVER MILDRED EFILE N0.:21 10-0941 ACN: 101 DATE: 04-11-2011
TAX RETURN WAS: CX) ACCEPTED AS FILED t ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule B)
3. Closely Held Stock/Partnership Interest (Schedule C)
4. Mortgages/Notes Receivable (Schedule D)
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E)
6. Jointly Owned Property (Schedule F)
7. Transfers (Schedule G)
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H)
10. Debts/Mortgage Liabilities/Liens (Schedule I)
cl) .00
C2) .00
C3) .00
C4) .00
cs) 108,292.84
C6) .00
c7) 98,627.29
NOTE: To ensure proper
credit to your account,
submit the upper portion
of this form with your
tax payment.
cs) 206 , 920.13
c9) 12,038. 7
tlo)_ 1,898.36
11. Total Deductions
C11)
13,936.63
12. Net Value of Tax Return (12) 192,983.50
13. Charitable/Governmental Bequests; Non-elected 9113 Tr usts (Schedule J) (13) .00
14. Net Value of Estate Subject to Tax C14) 192,983.50
NOTE: If an assessment was issued previously, li nes 14, 15 and/or 16, 17, 18 and 19 will
reflect figures that include the total of ALL returns assessed to d ate.
ASSESSMENT OF TAX:
15. Amount of Line 14 at Spousal rate (15) .00 X 00 - .00
16. Amount of Line 14 taxable at Lineal/Class A rate C16) 192.98 .~0 x 045 = 8,684.26
17. Amount of Line 14 at Sibling rate C17) .0 0 X 12 = .00
18. Amount of Line 14 taxable at Collateral/Class B rate C18) .00 X 15 - .0 0
19. Principal Tax Due (19)= 8,684.26
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT C+)
DATE
NUMBER
INTEREST/PEN PAID C-) AMOUNT PAID
12-03-2010 CD013745 393.75 7,481.25
01-30-2011 CD013966 .00 809.26
TOTAL TAX PAYMENT 8,684.26
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
~ IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUEn
FOR
CALCULATION OF
ADDITIONAL
INTEREST.
A
REFUND.
SEE
REVERSE SIDE
OF
THIS FORM ,
FOR INSTRUCTIONS. ~7/`\l